MRI瘘管造影联合直肠内扩张在复发性肛瘘治疗中的效果观察  

Efficacy Observation of MRI Syrinx Visualization Combined with Intrarectal Expansion in the Treatment of Complex Anal Fistula

作　　者：路通 李忠华[1] 姜虎[1] 张晓燕[1] LU Tong;LI Zhong-hua;JIANG Hu;ZHANG Xiao-yan(Huaiyin People's Hospital of Jinan City,Shandong 250000)

机构地区：[1]济南市槐荫人民医院,山东济南250000

出　　处：《中国肛肠病杂志》2021年第3期49-51,共3页Chinese Journal of Coloproctology

摘　　要：为观察MRI瘘管造影联合直肠内扩张在复发性肛瘘治疗中的价值,将68例复发性肛瘘患者随机分为观察组和对照组。对照组33例采用MRI辅助检查,观察组35例在对照组检查基础上,使用瘘管造影联合直肠内扩张的方法,比较两组瘘管和内口检出率、手术时间,住院时间,肛门失禁评分及疼痛等。结果显示,观察组内口和分支瘘管检出数量明显高于对照组(P<0.05);手术时间和住院时间均短于对照组(P<0.05);术后疼痛评分及肛门失禁评分均低于对照组(P<0.05)。结果表明,MRI瘘管造影联合直肠内扩张在复发性肛瘘影像学诊断中,可为肛肠外科制定和优化手术方案提供更精准、详细的影像学信息,从而降低手术难度,减轻患者痛苦,更好的保护肛门功能。This study was to observe the efficacy of MRI syrinx visualization combined with intrarectal expansion in the treatment of complex anal fistula,randomly divided 68 cases of this fistula into control group(33 cases,adopted MRI as adjunant inspection on patients)and observation group(35 cases,based on MRI adjunant inspection,added with syrinx visualization plus intrarectal expansion);then,compared both groups’detected rate of syrinx and inner-outlet,operating time,and score ratings on postoperative pain and anal incontinence,etc.As results,in detected rate of syrinx and inner-outlet,in operating time and hospitalization stay,and in the score ratings on postoperative pain and anal incontinence,observation group was respectively and significantly higher,shorter,and lower than control group(all,P<0.05).Results show that above image diagnosis of complex anal fistula(MRI syrinx visualization plus intrarectal expansion),can provide more accuracy,detail image information for developing and optimum procedure scheme,so that reduce surgical difficults,relieve patients’sufferings,and more better protect anal function.

关 键 词：复发性肛瘘 MRI 瘘管造影 直肠内扩张 

分 类 号：R657.16[医药卫生—外科学]